HomeMy WebLinkAboutApplicationGørfield County
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Community Development Department
RECEIVEDB 8rh Street, Suite 401
Glenwood Springs, CO 81601r,., i .,lgTolgls-8ztz
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COMMUNITY DEVELOPMENT
INVOTVEÐ PARTIËS
G,,p (r^ÊS"à Phone: I q10l &3Ll-5'.11(o
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Property Owner:
Mailing Address:
Email Address:
iùnq GAt Gep-V- ê'ià'e-€.\
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Mailing Address
Email Address:
BUILDING PERMIT
APPLICATION
WPE OF CONSTRUCTION
DemolitionCommercialulti-Famil
Manufactured Home or Multi-Level)
ReroofResidential (SF, Duplex or Townhome)
Accessorv Dwelling Unit (ADU) - MAXIMUM SIZE OF 1,000 SQUARE FEET
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Contractor:
(.J"lll¿ Üv¡-lcMailing Address
Email Address:
Phone;{'lì0 ¡ q¿'¡- q'ìqo
c0.o. Bor '?qt
Architect:
Mailing Address
Email Address:
SraÀ 938-,Ura
i,rr,ò4üì slè¿srin ¿orn
Phone: ( ?03 )
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Email Address:
Mailing Address
Engineer
Manufactured Home lnstaller:Phone t)
PROJECT DETAILS
Describe Work:lvuw SF âtsíòø-c¿-
Job Address:t R;,rc,-¿À+
Assessor's Parcel Number:23q3 oØo7
Sub.Lot Block
of Work:f,ooo¡oo
l,â6b Height ,¡'t'# of Floo
Class of Work:Addition
Property Size (Sq. Ft. or Acres)Owner's Valuation
Sq. Ft. of Building:
Garage:Attached
Remodel/Alteration
Detached
I,Ml A¡cr<i
n¡peof Hcrt:Gas Propane Electr¡c Other
Àuthü{fv, lhis appllcation for a Permft must bs sigüed bythe Owner of the property, described ebovÈ,
or an authorhed agent- lf the signature belour is not that of the Owner, a sêparatê letter of authorþ, slgned by
the Owner, must be provided wtth this Applicatton-
leral åc¡e. A Bufltllng Perm¡t cannd be issued without proof of le¡al and adequat€ ãcress to the property for
purposes of lnspÊctionr by the Bu¡ldlng Division.
Other l¡rn¡4. Multiple separãte perflits may be requlred: {1} State El€Ëtrical Permit, (2} County QWÍS Permlt,
{3f another permit required for use on thê propêrty identified above, e.g. State or Caunty Hþhwal fioad Access
or a SÞte Wastewater Discharge Permit.
Void Penn$, A Bullding Permll becomës null and void íf the work authorized is not commênced within 180 darn
of the date of ¡ssuance and if work is suspanded or abandoned for a period ol 180 days after æmmencement.
I hereby certifythat I haræ read thls Appflcation and that the lnformation contained above ls true and csrrec1 I
understand that the Euilding Þlvi¡ion accepts theÂpplication along wlth the plans and sgecificatfons and qtùer
data submitted by me or on my behalf {submfüals}, based upon my certification as to accuracy- Asarming
completeness of the submlttals and approval of thls Application, a Eulldlng Fermlt wlll be lseued grân$äg
permission to me, as Owner, tG construct the structure{s) and facilitles detailed sn the subm¡ttal$ reviewd by
ttre Building Oivision. ln con¡ideration of the lssuance of the Building Permit, I agree that I and my agençs will
comply ¡¡ith provisions of any faderal, state or local law regulating the r¡¡ork and the Garñeld County Eullding
€ode, OWTS regulations and applicable land use regulatlons {Gounty Regulatlon(s}}, I acknowledge thet the
Building Pemit måy be srrspended s revoked, upon notlce ftom ttrÊ County, if the lotation, constructlon or use
of tlre strusture(sl and fadþ{ies}, describêd åbùve, ere not ¡n compliance wfth County Regulat¡on{s} or any
other applicable hw.
I hereby grant permission to the Building Division to enter the property. described aborre, to inspect the work. I
further acknoudedge thãt thê issr¡ance of the Building perm¡t does not prwent the Bullding ûfftclal from: {11
requiring the conection of errors ln the submlttal¡, if any, discovered ¿fter issuance; or {2} stopplng
construction or use of the structure{s} or facillty(ies} if such is in violation of County Rcgulaüonfsl or anv other
applicqble þw. Review of this Application, includlng submfüals, and inspections of thework bythe Building
Dfuision do not mnstitute an acceptance of responsibility or li¡bllily by the County of errors, ornission¡ or
discrepancies. AÊ the OwnÊr, I acknowledge tùat responsibility for compliance with fedcraL state and local laws
and County Regulations rest ur¡th rne and my tuthorízÉd agents, includirg without llmltatlon my architect
or bullder
I hereby thsr ¡rcad and wdcrstand the f{othc and Ccrtffic¡tlon a¡ wsll as, have
provlded the rcquirud lnformatlon whlch È and acs¡¡ate to ürc best of my lmowledgc.
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PfEPërtr owncr pTlnt ând Dæ.t
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.a¿ Flre b nklen0vwn
MIsc. Fee¡: f
P tF < 2703Feñnlt F€e:it^í.,Y6 iiïffËr*'Plen Clhe¡k Fee:
2373.b+Adluited valusúon¡ölszqbl,(û
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6z.t"st.7,1$ffi.øt *Tffi.-0Zon|ne:Þt rl>teodrs: ,nk OCCGm¡¡o:ï¿r-
BULD|IúE / Pr.âilt{lilG tüvl5lot{ ;fu-,,-
Garfteld County
BUILDING DEPARTMENT
708 Eighth Street, Suite 407, Glenwood
'pùngs,
CO 87607
Tel: (970) 945-8212
PLAN RE VIE W CHECK rsT
7LRE-}î-ZÞbØ32Perrnit No:
Building lssues Planning lToning lssues ?ú Þ
C¿NÞ
Nh
t/_---._- ',l,/
Engineered Foundation
Driveway Permit
Surveyed Site Plan
Septic Permit and Setþack
Grade/ TopograPhY 30%
Attach Residential Plan Review List
/ ,uoorvision Plat Notes
Y,S,
Property Line Setbacks
.^ a a¡---- a^!L^^|.-5U I1,. Jtf trdf ll Je[UclLl()
Flood Plain
Building Height
Zoning Sign-Off
Road lmpact Fees
Grade/ Topography 40%
Planning lssues
Subdivision Plat q7 C 33O
CONÞ.
t/
C;OND
I/
/
,/Fees
Red Line Plans/ StamPs/ Sticker
Attach Conditions
î A.8.. 25% = o¿
(t. olo4oø"s)
Ul Application signed
l/
Plan Reviewer to Sign APPlication
Parcel/ Schedule No'
40# Snowload Letter - Manu. Homes
soils ReportH?øe¡leth
Job tt4 +77A ,t-zb-zu|
,vrq
lr/
C'NÞ
Descript ion & Surnmarv:
Rtr(uBD)= Ó2 vo3
F,L,6, j AgO sl y þ7 rl,g= S7l rlg?, (.o
to4toslxd øZ = 7TL|YZ'æ
ggysPx 4w -- tí,W,û
3ryø
.Plà25o0psç, 3b"
( oou,irìd veþr+tl2
ry";rek)2r? f
t
fr^), b"ilÀìny va)ur- =+587q bl, bo
éZ-
r Framktg plans for each flær level and rod. Irll boams, a¡olumnq, joists, rc¡fiÊË and h¡sses
spe{Sñed, Pre.manufadured stud¡les require theengineers siamp, signature and date.. F¡aming /connecüon deüails, brìeæd rralt lines, $rear uaf, scherlule, bcation and hold do¡ur¡s.
HOTË: lf any requiled inbrmatisr is missing, dehye in issuing the permit are to bo axpecþif. ff
determined by fte Building Official that additk¡nal information ie neceseary to review thà application
and/or plans for complianco, the application may be phced on hoH untitthe requhad inforñat¡on ¡sprovidd. Wotk mây not pmceed wfhor¡t the issuance of a permìt
The BuiHlng Eivit$on wiH collect a Flan Rovbw fee at time of application submfttol. The permit Íee, aÊ
trrnll as any Road lmpactks uuill be ællected wtren the permit b issued.
The permlt applicalion must be signed by the owÍìer or by person having r¡vritten authority from the owner
to act as theÍr representative.
Building cannot be occupied until a Certiftcato of Ocorpancy {CO) is issued. Using tho building without a
COwill be oonsidered an illegnl occuparicyand may be grounds for vacating the prcmlses. (FlnaFCO
ínspection rcquircments nill be attacfted to your anprorred field set of plans.)
I hÊ¡eby ¡cknowledge I haua read, undsrstÐnd and will ablda by lhe rcqulruments of thl¡
choc{¡ll¡t
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Pruperty Owner and s Dab